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[Spinal cord compression in multiple cartilagineous exostoses (case report)]
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|April 1, 1975
Summary
Multiple cartilaginous exostoses can cause spinal canal narrowing, leading to cord compression and spastic paraplegia. Early diagnosis via whole-spine imaging and regular neurological exams are crucial for timely surgical intervention.
Area of Science:
- Orthopedics
- Neurology
- Radiology
Background:
- Multiple cartilaginous exostoses (MCE) are benign bone tumors that can affect any bone.
- Spinal involvement in MCE can lead to significant neurological complications.
- Thoracic spinal canal narrowing is a rare but serious manifestation of MCE.
Purpose of the Study:
- To highlight the potential for spinal cord compression in patients with multiple cartilaginous exostoses.
- To emphasize the importance of comprehensive radiologic evaluation in MCE.
- To discuss the diagnostic and management strategies for spinal cord compression secondary to MCE.
Main Methods:
- Case report of a 53-year-old patient with MCE.
- Review of radiologic findings including spinal and extremity imaging.
- Neurological examination to assess for cord compression.
Main Results:
- The patient presented with thoracic spinal canal narrowing and cord compression.
- This resulted in the development of spastic paraplegia.
- Radiologic examination revealed exostoses throughout the spine and extremities.
Conclusions:
- Comprehensive radiologic assessment of the entire spine and extremities is essential in patients with MCE.
- Regular neurological examinations are vital for early detection of cord compression in spinal MCE.
- Early decompressive laminectomy is the recommended treatment for symptomatic spinal cord compression due to MCE.